I would also ask for the SSA's assessment that documents the appropriateness of OSOC - if that is what she has completed.  Compare this to your existing assessments to determine what she has identified has "changed".

-----Original Message-----
From: opra_members@opra.simplelists.com [mailto:opra_members@opra.simplelists.com] On Behalf Of Than Johnson
Sent: Wednesday, October 4, 2017 3:24 PM
To: TR Residential <trresidential@yahoo.com>
Cc: opra_members@opra.simplelists.com
Subject: Re: OSOC

Can u document health and safety needs and /or assessment outcomes of the individuals that would require awake staffing?
If so then you have a potential MUI not address on the service plan.
Thx
Than

Than Johnson
Chief Executive Officer, CRSI
www.crsi-oh.com > On Oct 4, 2017, at 3:14 PM, TR Residential (via opra_members list) <nobody@simplelists.com> wrote:
>
> Hello fellow OPRA members. I have a situation regarding OSOC in a 24
> hour 5 bed licensed home where the ssa is claiming she can no longer
> authorize awake staff at night. This coming only after one of the
> individuals had to move into a nursing home and it put the other folks
> into prior auth. In my opinion none of the remaining individuals
> services have changed so why should their awake staff get cut?! If any
> of you have had any success with negotiation on this or would like to
> chime in I could certainly use the knowledge. I have talked with a few
> other providers and they seem to agree. Please feel free to call me or
> email me directly at trresidential@yahoo.com
>
>
> Thank You,
>
> Maura Mantell
> Executive Director
> T/R Residential Care Facilities, Inc.
> P.O. Box 693
> Dresden, OH 43821
> 740-754-2600 Office
> 740-819-9064 Cell
>
> .
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